NPI 1043215437

Shoshone Medical Center

Organisation Critical Access Hospital Kellogg, ID

Practice location

Address: 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023
Phone: (208) 784-7017
Fax: (208) 786-1019

Authorised official

Name: Donja Erdman
Title: Cfo
Phone: (208) 784-1221

Registered specialties

Critical Access Hospital Primary

Hospitals Taxonomy 282NC0060X Licence 44 (ID)

Other General Acute Care Hospital providers in Idaho →

Registry record

NPI: 1043215437
Entity type: Organization
NPI issued: 14 Jun 2005
Record last updated: 27 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.